TY - JOUR
T1 - Effectiveness of treatment for alcohol problems: findings of the randomised UK alcohol treatment trial (UKATT)
AU - Orford, Jim
AU - UKATT Research Team
PY - 2005/9/10
Y1 - 2005/9/10
N2 - Objective To compare the effectiveness of social behaviour and network therapy, a new treatment for alcohol problems, with that of the proved motivational enhancement therapy. Design Pragmatic randomised trial. Setting Seven treatment sites around Birmingham, Cardiff, and Leeds. Participants 742 clients with alcohol problems; 689 (93.0%) were interviewed at three months and 617 (83.2%) at 12 months. Interventions Social behaviour and network therapy and motivational enhancement therapy. Main outcome measures Changes in alcohol consumption, alcohol dependence, and alcohol related problems over 12 months. Results Both groups reported substantial reductions in alcohol consumption, dependence, and problems and better mental health related quality of life over 12 months. Between groups we found only one significant difference in outcome, probably due to chance: the social network group showed significantly better physical health at three months. Non-significant differences at 12 months in the motivational group relative to the social network group included: the number of drinks consumed per drinking day had decreased by an extra 1.1 (95% confidence interval - 1.0 to 3.2); scores on the Leeds dependence questionnaire had improved by an extra 0.6 (- 0.7 to 2.0); scores on the alcohol problems questionnaire had improved by an extra 0.5 (- 0.4 to 1.4); but the Dumber of days abstinent from drinking had increased by 1.2% less (- 4.5% to 6.9%). Conclusion The novel social behaviour and network therapy for alcohol problems did not differ significantly in effectiveness from the proved motivational enhancement therapy.
AB - Objective To compare the effectiveness of social behaviour and network therapy, a new treatment for alcohol problems, with that of the proved motivational enhancement therapy. Design Pragmatic randomised trial. Setting Seven treatment sites around Birmingham, Cardiff, and Leeds. Participants 742 clients with alcohol problems; 689 (93.0%) were interviewed at three months and 617 (83.2%) at 12 months. Interventions Social behaviour and network therapy and motivational enhancement therapy. Main outcome measures Changes in alcohol consumption, alcohol dependence, and alcohol related problems over 12 months. Results Both groups reported substantial reductions in alcohol consumption, dependence, and problems and better mental health related quality of life over 12 months. Between groups we found only one significant difference in outcome, probably due to chance: the social network group showed significantly better physical health at three months. Non-significant differences at 12 months in the motivational group relative to the social network group included: the number of drinks consumed per drinking day had decreased by an extra 1.1 (95% confidence interval - 1.0 to 3.2); scores on the Leeds dependence questionnaire had improved by an extra 0.6 (- 0.7 to 2.0); scores on the alcohol problems questionnaire had improved by an extra 0.5 (- 0.4 to 1.4); but the Dumber of days abstinent from drinking had increased by 1.2% less (- 4.5% to 6.9%). Conclusion The novel social behaviour and network therapy for alcohol problems did not differ significantly in effectiveness from the proved motivational enhancement therapy.
U2 - 10.1136/bmj.331.7516.541
DO - 10.1136/bmj.331.7516.541
M3 - Article
SN - 1468-5833
SN - 1756-1833
VL - 331
SP - 541
EP - 540
JO - British Medical Journal
JF - British Medical Journal
IS - 7516
ER -